Join WCN: Registration Form - Wealth Creation Network

N.B: All prospective members should read the following Documents before signing
this form.

Crowdfunding Constitution
CFI Constitution

PROPERTY CROWDFUNDING
Banking Details

Account Holder:
Wealth Creation Network
Name of Bank:
First National Bank (FNB)
Account Number:
74674926025
Account Type:
Savings
Branch Code:
250655
Reference:
Initials and Surname

Membership Online Rigistration Form

All Prospective members of Wealth Creation Network must complete all sections of this form.

Send proof of payment to payments@wcngroup.co.za

1 Personal Detail

2 Membership Type

3 Beneficiary

Title*
Preferred Title
First Name*
Last Name*
ID Number*
Email Address
Mobile Number
Work Number
Address
Street Address Address Line 2 City Country
Province*
Qualification and Area of Expertise (Work Experience)*

Beneficiary Title
Beneficiary Preferred Title
Beneficiary First Name
Beneficiary Last Name
Beneficiary ID Number
Beneficiary Mobile Number
Beneficiary Address
Street Address Address Line 2 City Country
Beneficiary Province*
Full Names of Guardian in case of a minor
First Last
Terms and Conditions*
- I accept the terms and condition of the Wealth Creation Network stipulated on the constitution documents.

PROPERTY CROWDFUNDING Banking Details

Membership Online Rigistration Form

PROPERTY CROWDFUNDING
Banking Details